A Primary Care Provider's Guide to Managing Respiratory Health in Subacute and Chronic Spinal Cord Injury.

Autor:	Reyes MRL; Department of Rehabilitation Medicine, University of Washington, Seattle, Washington., Elmo MJ; University Hospitals Cleveland Medical Center, Cleveland, Ohio., Menachem B; Department of Internal Medicine, Sidney Kimmel Medical College, Philadelphia, Pennsylvania., Granda SM; Sacramento, California.
Jazyk:	angličtina
Zdroj:	Topics in spinal cord injury rehabilitation [Top Spinal Cord Inj Rehabil] 2020 Spring; Vol. 26 (2), pp. 116-122.
DOI:	10.46292/sci2602-116
Abstrakt:	Respiratory complications following spinal cord injury (SCI) have remained the leading cause of death across the lifespan and are one of the most common reasons for hospitalization. Complications from altered respiratory physiology after SCI include atelectasis, pneumonia, venous thromboembolic disease, and sleep-disordered breathing. The risk for complications is greater with higher SCI levels and severity, and mortality from pneumonia is heightened compared to the general population. Optimal primary care for individuals with SCI includes appropriate surveillance for SCI-specific respiratory disease, key preventive care including promotion of influenza immunization and respiratory muscle training, and early identification and treatment of pneumonia with institution of aggressive secretion management strategies. The respiratory physiology and specific management of respiratory complications after SCI is reviewed. Competing Interests: The authors report no conflicts of interest. (© 2020 American Spinal Injury Association.)
Databáze:	MEDLINE
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